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General NPI Number Information
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NPI Number | 1669738829
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Entity Type | Organization
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Legal Business Name | THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 08/12/2016
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Provider Practice Location Address
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Address Line | 7666 CHARLOTTE HWY SUITE 200-A
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City | INDIAN LAND
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State | SC
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Zip | 29707-7000
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Country | US
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Telephone | 704-302-9600
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Fax | 704-302-9601
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Provider Business Mailing Address
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Address Line | PO BOX 602120
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City | CHARLOTTE
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State | NC
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Zip | 28260-2120
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Country | US
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Telephone | 704-302-9600
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Fax | 704-302-9601
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Authorized Official
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Title or Position | SVP
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Name | MR. THOMAS FORD LAYMON
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Credential |
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Telephone | 704-631-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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